In this episode, we explore the reference-based pricing legal landscape with attorney Amy Pellegrin.

Ever imagine healthcare could feel like the Wild West?  Welcome to the untamed lands of reference-based pricing (RBP), the sizzling frontier where a…

Here is what I'm calling my 10 commandments of any reference-based pricing plan. Every one of these is important, however, they are ranked from 10 to one, with one being the most important element.

Expert estimates suggest that up to a tenth of all health care spending might be swallowed by fraudulent operations. The insurance industry insists it's vigilantly safeguarding these funds, but the unnerving reality reveals a different story.

How health insurers hide behind HIPAA in sharing any meaningful claims data with you about your employees while farming every imaginable fact about all plan members.

The article argues that, given the federal government's endorsement of RBP and its proven efficacy in reducing employer costs and expanding participant options, it is now virtually impossible for a plan fiduciary to lawfully discharge their duties in accordance with ERISA without at least considering the implementation of RBP.

A benefits specialist looks ahead and sees... something for all. Not Medicare.